Individual provider Active NPI

Blake William Luy

  • Family Nurse Practitioner
  • Storm Lake, IA
National Provider Identifier
1487540126
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A184884 Issued in IA
Practice address
2015 W 5TH St
Storm Lake, IA 50588-3000
Phone
(712) 732-6650
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A184884 IA Primary

Addresses

Primary practice location

2015 W 5TH St
Storm Lake, IA 50588-3000

Mailing address

PO Box 41
Early, IA 50535-0041
Phone (712) 299-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000289 IA Practitioner - Nurse Practitioner 1759899396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

117 S 25TH St
Davita Renal Center of Fort Dodge
Fort Dodge, IA 50501-4357
Phone (800) 424-6589

1525 W 5TH St
Buena Vista Regional Medical Center
Storm Lake, IA 50588-3027
Phone (712) 732-4030

1536 N 29TH St
Bickford of Fort Dodge
Fort Dodge, IA 50501-2148
Phone (515) 573-3300

2400 6TH Ave N
Marian Home
Fort Dodge, IA 50501-3541
Phone (515) 576-1138

420 Kenyon Rd
Fort Dodge, IA 50501-5749
Phone (515) 573-2121

520 Otsego St
Storm Lake, IA 50588-1760
Phone (712) 299-4750

800 Kenyon Rd
Fort Dodge, IA 50501-5776

802 Kenyon Rd
Fort Dodge, IA 50501-5740

802 Kenyon Rd
Fort Dodge, IA 50501-5747

925 Martin Luther King Dr
Fort Dodge, IA 50501-2866
Phone (515) 576-6525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Aug 11, 2025 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

2015 W 5th St
Storm Lake, IA 50588
Phone (717) 732-6650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1487540126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "EARLY",
            "state": "IA",
            "postal_code": "505350041",
            "telephone_number": "712-299-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883000",
            "telephone_number": "712-732-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUY",
        "first_name": "BLAKE",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A184884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.